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1558615773
GREGORY LAUTZ
RACINE, WI
NPI
1558615773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: WI 6130-125)
Enumeration Date
2012-11-09
Last Update Date
2016-12-15
Business Address
GREGORY LAUTZ LPC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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Mailing Address
GREGORY LAUTZ LPC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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